I understand the shortlist panel can only take into consideration and therefore make their decision based on the information provided on this application only

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* 1. Award Category:-

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* 2. Nominee Details

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* 3. Nominator Details

Supporting Details
What opportunities does the club provide for the following members…

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* 4. Players? e.g. player pathway progression

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* 5. Coaches? e.g. coaching development

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* 6. Officials? e.g. officials development

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* 7. Volunteers? e.g. team manager, secretary

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* 8. Is the club inclusive? For example, do you offer opportunities for all regardless of gender, ability and race? Please explain?

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* 9. Does the club provide opportunities for young members to be involved with volunteering roles? If so, please provide details.

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* 10. Does the club provide any sporting activities through the medium of Welsh? If yes, please provide details e.g., number of coaches and sessions

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* 11. What has been the biggest impact that the club has made to inspire others to be active during the COVID-19 pandemic?

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* 12. Please use this section to provide further details on why you think your nomination is worthy of winning the award (e.g. raising profile, links within the community)

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* 13. I confirm that the information given is correct, to the best of my knowledge

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* 14. I am happy for the information on this nomination form to be used in any publicity for the award, eg, press notices, social media, websites

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